Topical fluoride for remineralising and arresting carious lesions

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This review looked at topical fluoride for remineralising or arresting caries. 17 RCTs were included and overall remineralised early enamel caries using % fluoride varnish = 63.6 % (95% CI; 36.0 to 91.2 %) and 38% silver diamine fluoride had an overall proportion of arrested dentine caries = 65.9% (95% CI; 41.2 to 90.7 %).

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Fluoridated milk: low quality evidence of benefit

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The updated Cochrane review only included 1 low quality RCT. A substantive reduction in decay for primary teeth was seen equivalent to a prevented fraction of 31% but further research is likely to have an important impact on this estimate.

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Sense of Coherence and oral health behaviours

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Nine studies were identified for this review of the impact of sense of coherence (SOC) on oral health behaviours. The findings suggest that more favourable oral health behaviour are seen in those with a stronger SOC.

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Slow-release fluoride devices: review finds insufficient evidence to show they reduce dental decay

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This new update of a Cochrane review only identified 1 study that randomised 174 children but analysed only 63. While there was a reduction in caries in those children with the slow-release fluoride glass bead the study is at high risk of bias and provides insufficient evidence to determine the caries-inhibiting effect of slow-release fluoride glass beads.

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Small trial finds caries prevention potential in new silver fluoride agent

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Dental caries is one of the commonest diseases of childhood and management is particularly challenging in underprivileged populations. In recent years there has been increasing interest in silver diamine fluoride. However, it tendency to stain carious tissue black and potential to cause oral mucosal lesions limit its potential use. Nano Silver Fluoride ® (NSF), a [read the full story…]

Study suggests benefits to adjacent teeth from application of fluoride containing fissure sealants

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There is good quality review evidence (Ahovuo-Saloranta et al.  2013) that resin-based fissure sealants are effective at preventing or controlling occlusal caries. The aim of this trial was to assess whether sealing first permanent molars with fluoride releasing compounds reduced the caries increment on the distal surface of the second primary molars. Children with at [read the full story…]

Only poor quality evidence available for the use of fluoride and calcium to prevent dental erosion

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Dental erosion can been defined as the irreversible loss of tooth tissue by chemical processes not involving bacteria. The incidence of dental erosion is considered to be on the increase.  The aim of this review was to assess the effectiveness of calcium and fluoride in the prevention of dental erosion. The PubMed, Cochrane Database of [read the full story…]

In the Newspapers

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In recent weeks an number of dental stories have seen a lot of reporting in the mainstream press.   The Daily Mirror reporting on a potential link between gum disease and dementia with  “Brushing you teeth reduces your risk of dementia”  ; while the BBC reported on  a study reporting the growth of tooth-like structures from [read the full story…]

High-viscosity glass-ionomer cements increased interproximal fluoride concentration more than resin-based fluoride-containing sealants

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The latest update of the Cochrane review on fissures sealants (Ahovuo-Saloranta et al 2013) confirmed the use of resin-based sealants as a effective method of preventing or controlling occlusal caries.  The Cochrane review included 15 trials comparing glass ionomer with resin sealants and there was insufficient evidence to make any conclusions about the superiority of [read the full story…]

Critical summaries from the American Dental Association Center for Evidence-Based Dentistry

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Two new critical summaries are now available at the ADA-EBD site The first one is of a 2011 review by  Yengopal and Mickenautsh; The aim of the review was to assess whether resin-modified glass-ionomer cement (RM-GIC) offered a significant caries-preventive effect compared with resin-based composite (RBC)? The appraiser generally considers the review to be well [read the full story…]